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Your Health is in Your Hands!
Teens!
We are available to assist you with any confidential services.
Confidential Services
for teens ages 12-17
do not
require parental consent.
A Teen Liaison will connect with you
First Name
Last Name
Phone Number
Date of Birth
How would you like to be contacted? By call or text?
Which confidential services do you need?
Teen Pregnancy Prevention
Birth Control
Emergency Contraception
STI Testing & Treatment
HIV Testing
Pregnancy Testing
Sexual Health Education
How did you hear about East Valley?
Facebook/Social media
Google
Community Event/Flyer
Provider
School
Other
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